ADVANCED VISION CARE NPI 1992992945

NPI Information

  • NPI: 1992992945
  • Provider Name: ADVANCED VISION CARE
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • CLIA Number: 05D2048921
  • Address: 2080 CENTURY PARK EAST
    SUITE 911
    LOS ANGELES, CA
    ZIP 90067
  • Phone: (310) 229-1220

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NPI Details

ADVANCED VISION CARE is an ophthalmology in Los Angeles, CA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. ADVANCED VISION CARE NPI is 1992992945. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2080 CENTURY PARK EAST
SUITE 911
LOS ANGELES, CA
ZIP 90067
Phone: (310) 229-1220
Fax: (310) 229-1222

The provider's authorized official is Samuel Masket .
The authorized official title is Physician and has the following contact phone number (310) 229-1220.

The CLIA number assigned to this NPI record is 05D2048921 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2007 and was last updated on 9/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1W12218AMEDICARE PINCALIFORNIA
2A45675MEDICARE UPINCALIFORNIA
300G337810MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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